Provider Demographics
NPI:1669856175
Name:VIENT, LAUREN BETH (OD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BETH
Last Name:VIENT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:BETH
Other - Last Name:ANDREAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:424 ANTHEM WAY
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-1908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 GRAVEL PIKE
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:EAST GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:18041-2130
Practice Address - Country:US
Practice Address - Phone:215-679-7902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003035152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist